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22B-012 (6) B ' 2022-1126 61 MEADOW ST COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 22B-012-001 CITY OF NORTHAMPTON Permit: Alts Renovations Repair • PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) BUILDING PERMIT Permit# BP-2022-1 126 PERMISSION IS HEREBY GRANT;D TO: Project# INSULATION Contractor: License: Est. Cost: 3000 HOMEWORKS ENERGY INC 106148 Const.Class: Exp.Date:07/30/2024 Use Group: Owner: A RYAN WILLIAM MICHAEL& PI TH Lot Size (sq.ft.) Zoning: URA/URB/WP Applicant: HOMEWORKS ENERGY INC Applicant Address Phone: Insurance: 59 TOSCA DR 781-205-4484 ECC-600-400 1 0 1 7-202 A STOUGHTON, MA 02072 ISSUED ON:09/12/2022 TO PERFORM THE FOLLOWING WORK: INSULATION/WEATHER I ZATI ON POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector Underground: Service: Meter: Footings: Rough: Rough: House # Foundation: Final: Final: Final: Rough Frame: Gas: Fire Department Driveway Final: Fireplace/Chimney: Rough: Oil: Insulation: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIO ATION OF ANY OF ITS RULES AND REGULATIONS. Signature: ,, ' I A " • ' ` • Fees Paid: $65.00 212 Main Street, Phone(413)587-1240,Fax:(413)587-1272 Office of the Buildine Commissioner FEE: $65.00 00_,T /6 Deprituftif-% City of Northamp1E Building Depart ent EiAli v v- 1 MOIL f - ., ,,ik-,--, . nZ Malty �tr eti IIV 0 U L. TON Room 100 SEP -9 ' Northampton, M/#01060 - - 2Q22 '� &hone 413-587-1240 Faiie4 ' s NORTHAA � jN l pF CrT .` 9TM> ,In ,IONS APPLICATION FOR INSULATION FOR A ONE OR TWO FAMILY DWELLING ONLY SECTION 1 -SITE INFORMATION I nis section to oe complete('Dy orrice 1.1 Property Address: Map �i..), Lot D/ 2-- Unit 61 Meadow Street Northampton MA 01062 Zone Overlay District Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Judith Ryan 61 Meadow Street Northampton MA 01062 Name(Print) Current Mailing Address: See Attached (413)265 0033 Telephone Signature 2.2 Authorized Agent: Adam Glenn 59 Tosca Drive Stouahton. MA 02072 i Name(Print) ,,,,, � - Current Mailing Address: I 781-205-4484 Signature Telephone I SECTION 3-ESTIMATED CONSTRUCTION COSTS i I*e!r I Estimated Cost(Dollars)to be Official Use Only completed by permit applicant J.000 (a)Building Permit Fee 2. Electrical (b)Estimated Total Cost of Construction from(6) 3. Plumbing Building Permit Fee 4. Mechanical (HVAC) r! / 5. Fire Protection (�� 6. Total = (1 +2+3+4+5) 3,000 Check Number (j55 70 This Section For Official Use Only Building Permit Number: y'a1)j-1 14U Date Issued: Signature: /7/g (-NZ-2 s vZ Z Building Commissioner/Inspector of Buildings Date wxpermitting @ homeworksenergy.com EMAIL ADDRESS (REQUIRED; EITHER HOMEOWNER OR CONTRACTOR) ION 4-CONSTRUCTION SERVICES n.-1 Licensed Construction Supervisor: Not Applicable 0 name of License Holder Adam Glenn 106148 License Number 59 Tosca Drive Stoughton, MA 02072 07/30/2024 Addre Expiration Date a- 4___ 781-205-4484 Signature Telephone 9,Registered Home Improvement Contractor: Not Applicable 0 HomeWorks Energy 181138 Company Name Registration Number 59 Tosca Drive Stoughton, MA 02072 03/02/2023 Address Expiration Date 924L/ �,� Telephone 781-205-4484 SECTION 5-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c. 152,§25C(6)) i vvorlcers uomoensation insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result Signed Affidavit Attached Yes rile" Brief Description of Proposed Work Residential weatherization/ Air sealing. No structural changes. SITE ID 422153 I Adam Glenn , as Owner/Authorized Agent hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief. Signed under the pains and penalties of perjury. Adam Glenn Print Name caL 9/6/2022 Signature of Owner/Agent Date Judith Ryan l , as Owner of the subject property hereby authorize HomeWorks Energy to act on my behalf, in all matters relative to work authorized by this building permit application. See Attached 9/6/2022 Signature of Owner Date City of Northampton aTnarwry 0 o s «» S Massachusetts t ��♦ DEPARTMENT OF BUILDING INSPECTIONS 1 je k �C y• 212 Main Strut • Municipal Buildingufr Northampton, MA 01060 j:411,.. `;sac AFFIDAVIT Home Improvement Contractor Law Supplement to Permit Application The Office of Consumer Affairs and Business Regulation ("OCABR")regulates the registration of contractors and subcontractors nerrormin2 improvements or renovations on detached one to four family homes.Prior to performing work on such homes,a contractor must be reststerea as a nome =movement Lontractor M.G.L.Chapter 142A requires that the"reconstruction.alteration. renovation.repair. moaemrzarron. conversion. improvement, removal, demolition, or construction of an addition to any pre-exisuna owner-occuoiea ouua:ma conrainina at least one but not more than four dwelling units....or to structures wn:cn are aa:scent to suc. ree:cencs^•cU::C:r:o ^e done by reeistered contractors. �I wore:it me nomeowner has contracted with a corporation or LLC,that entity must be registered Type of Work:Weatherization Est. Cost:3,000 Meadow Street Northampton MA 01062 Date of Permit Application: 9/6/2022 I hereby certify that: Registration is not required for the following reason(s): _Work excluded by law(explain): _Job under$1,000.00 Owner obtaining own permit(explain): Building not owner-occupied Other(specify): OWNERS OBTAINING THEIR OWN PERMIT OR ENTERING INTO CONTRACTS WITH UNREGISTERED CONTRACTORS OR SUBCONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK ARE NOT ELIGIBLE FOR AND DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARAN 'Y FUND UNDER M.G.L.Chapter 142A.SUCH OWNERS ALSO z.� PERFORMED UNDER THE BUILDING PERMIT.SEE NEXT PAGE FOR MORE INFORMATION. Signed under the penalties of perjury: 1 hereby apply for a building permit as the agent of the owner: 9/6/2022 Adam Glenn 181138 Date Contractor Name HIC Registration No. OR: Notwithstanding the above notice,I hereby apply for a building permit as the owner of the above property: Date Owner Name and Signature r�ri.. City of Northampton r r Massachusetts ��? �~ - Sic!<< tif ALL DEPARTMENT OF BUILDING INSPECTIONS y It; r�{•� 212 Main Street •Municipal Building 0 C, Northampton, MA 01060 �0 Debris D_ _ _ In accordance of the provisions of MGL c 40. S54. I acknowledae that as a condition of the building permit all debris resulting from the construction activity aovemea DV tnis tiunaina rermit snail De aisoosed of in a properly licensed solid waste disposal racuity. as oetinea DV WA_ c .i 11. .i SUB. The debris from construction work being performed at: 61 Meadow Street Northampton MA 01062 (Please print house number and street name) Is to be disposed of at: McNamara Waste Services LLC, 24 E Longmeadow Rd, Hampden, MA 01036 (Please print name and location of facility) Or will be disposed of in a dumpster onsite rented or leased from: (Company Name and Address) g-Al' A ,,,,, ;:ard- /6/2022 Signature of Permit Applicant or Owner Date If, for any reason, the debris will not be disposed of as indicated, the Applicant or Owner shall notify the Building Department as to the location where the debris will be disposed. City of Northampton Massachusetts <<c . t y. i ",Y "k DEPARTMENT OF BUILDING INSPECTIONS 9A :ir 212 Main Street • Municipal Building `j;•..• 0c.. _ Northampton, MA 01060 s ♦ X� MANDATORY FOR HOUSES BUILT BEFORE 1945 Property Address: 61 Meadow Street Northampton MA 01062 Contractor Name HomeWorks Energy Address: 59 Tosca Drive City, State: Stoughton, MA 02072 Phone: 781-205-4484 . N operty Owner Judith Ryan Address: 61 Meadow Street Northampton MA 01062 City, State: Adam Glenn (contractor) attest and affirm that the building I intend to insulate does not have any open air (knob and tube)wiring in the spaces to be insulated and that I have provided the property owner with a copy of this affidavit. Contractor signature CaL j;)eteid c--Oe___ Date 9/6/2022 The Commonwealth of Massachusetts —rip— Department of Industrial Accidents _xk)=- ; 1 Congress Street,Suite 100 _?1f=% w Boston, MA 02114-2017 so. -- ww mass.gov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information , / Please Print Legibly Name (Business/Organization/Individual): Home Works V orks Energy Address: 59 Tosca Drive City/State/Zip: Stoughton, MA 02072 Phone#: 781-205-4484 Are you an employer?Check the appropriate box: Type of project(required): 11�/[am a employer with 500 employees(full and/or part-time).* 7. ❑New construction 2. 1 am a sole proprietor or partnership and have no employees working for me in 8. Remodeling any capacity.[No workers'comp.insurance required.] 9. ❑Demolition 3.❑I am a homeowner doing all work myself[No workers'comp.insurance required.)' 10 ❑Building addition 4.0 1 am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole 11.❑ Electrical repairs or additions proprietors with no employees. 12.E Plumbing repairs or additions 5.0 I am a general contractor and I have hired the sub-contractors listed on the attached sheet. These sub-contractors have employees and have workers'comp. insurance.' 13_ Roof repairs 14 ther WEATHERIZATION 6,n We are a corporation and its officers have exercised their right of exemption per MGL c. 152,81(4),and we have no employees.[No workers'comp, insurance required.) *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. :Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: NH Employers Insurance Company Policy#or Self-ins.Lic.#:#4001017 Expiration Date: 01/01/2023 - • ....---- �Tr40t Northampton MA 01062 City/State/Zip: p►uacn a copy of me wortcers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by a fine up to$1,500.00 and/or one-year imprisonment- as well as civil penalties in the form of a S'I'OP WORK ORDER and a fine of up to$250.00 a aav aeatnst the violator.A coov or this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and pe • of perjury that the information provided above is true and correct Signature: 6% `.4 cS aV _ Date: 9/6/2022 Phone#:781-205-4484 // wxpermitting@homeworksenergy.com Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1. Board of Health 2.Building Department 3.City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: _ Phone#: ___......"41 HOMEENE-01 '4�Co,Ro CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/1YYY) 1/3/202? THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS GER I!FICA!E OOEs Nu I AFFIRMATIVELY OR NEGATIVELY AMEND. EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED IMPORTANT: If the certificate holder is an ADDITIONAL INSURED.the oolicvfies)must have ADDITIONAL INSURED provisions or be endorsed. "^"'..e an endorsement. A statement on PRODUCER ACT Lisa Lariviere Foster Sullivan Insurance Group,LLC PHONE ,, 163 Main Street (A/C,No,Ext):(978)686-2266 301 1 %ar•- b,,,;3,81 G36-6:10 North Andover,MA 01845itiss;certificates@fostersumvanarouo.com INSURER(S)AFFORDING COVERAGE I NAIC N INSURER A:Central Mutt:::'-- INauKCuI I INSURER B:NH Employers Insurance Company 13083 Homeworks Energy,Inc I INSURER C:Markel Insurance Company 38970 Homeworks IIC LLC 101 Station Landing Suite 100 I INSURER D: Medford,MA 02155 I INSURER E: INSURER F: COVERAGES CERTIFICATE NUMB_... REVISION NUMRFR: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD I INDICATED. NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS I CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. I EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. I INSR TYPE OF INSURANCE ADDL SUBRI LTR INSD 4WD A X COMMERCIAL GENERAL LIABILITY CLAIMS-MADE X OCCUR CLP 8698469 1/1/2022 1/1/2023 UAMASES E Iluencel $ 3U8,000 MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY JE-- LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ A AUTOMOBILE LIABILITY (EOMBINEentSINGLE LIMIT $ 1,000,000 — ANY AUTO BAP 8698470 1/1/2022 1/1/2023 BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ _ AUTOSRE ONLY X AUTOSryp Ep pR p X AUTOS ONLY X NOTES ONLY (Perraacccident)AMAGE $ $ I "+ I A I UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,000 I I I EXCESS LIAB CLAIMS-MADE CXS 8698471 1/1/2022 1/1/2023 AGGREGATE $ 1,000,000 I I I DED X RETENTION$ 0 $ PER OTH- I LS I AND EMPLO COMPENSATION LIIABILLITNY Y/N X STATUTE ER. :'•:^^RIETOR/PARTNER/EXECUTIVE ECC-600-4001017-2022A 1/1/2022 1/1/2023 E.L.EACH ACCIDENT $ 1,000,000 --'-'ER/MEMBER EXCLUDED'? N N/A (Ma1lWtory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 11 es,describe under E.L.DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS below C Pollution Liability CPLMOL109278 1/1/2022 1/1/2023 $10,000 Deductible 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) Evidence Only CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Homeworks Energy Inc. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 101 Station Landing Ste 100 Medford,MA 02155 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD _ ___ _ r ae,,,,e,/:/x-aridae4 4` Office of Consumer Affairs and Business Regulation 1000 Washington Street - Suite 710 Boston, Massachusetts 02118 Home Improvement Contractor Registration Type: Supplement Card Registration: 181138 HOME WORKS ENERGY,INC Expiration: 03/02/2023 101 STATION LANDING STE 110 MEDFORD,MA 02155 Update Address and Return Card. scat 0 20M-05I17 Office of Consumer Malts a Business Regulation NOME IMPROVEMENT CONTRACTOR Registration valid for Individual use only TYPE:Supolement Card before the expiration date. R found return to: Reoistratiog glaitallan Office of Consumer Affairs and Business Regulation 181138 03102/2023 1000 Washington Street •Suite 7i0 HOME WORKS ENERGY,INC. Boston,MA 02118 ADAM GLENN `tf'�� 101 STATION LANDING STE 110 MEDFOHD,MA 02155 Undersecretary Not valid without signature airap Commonwealth of Massachusetts Division of Occupational Licensure RestrrQcdtoConstruction Supervisor Specialty Board of Building Regulations and Standards CSSL.C -insulation Contractor C onstructirupe r Specialty CSS!_-106148 fires:07/30/2024 ADAM GLEN9 19 CHARGE ' • l8 WAREHAM MA �j a At. Failure to possess a current edition of the Massachusetts 44,orbvaty) State Building Code is cause for revocation of this license. for information about this license hh m�� Call 727-3200 or visit wwn+mass.govidp Commissioner (c fin,(. �/V Insulation/Air Sealing Permit Authorization Specialist: Abel Silva Company: HomeWorks Energy Email: abel.silva@homeworksenergy.com Address: 101 Station Landing Cell: 4138246686 Medford, Ma 02155 Phone: 781.305.3319 Customer: Judith Ryan Address: 61 Meadow St Email: judyryanhta@hotmail.com Northampton, MA,01062 Site ID: 422153 Phone: 4132650033 I, the owner of the property identified above hereby authorize HomeWorks Energy Inc., o their Partner to act on my behalf in obtaining any building permit that maybe req ired to perform insulation and/or Weatherization work on my property and all matters related to the work authorized y said permit if one is obtained. Any related permit application cost will come at no additional charge provided hat the agreed Weatherization work is completed. In the event that a permit is pulled on your home for insulation and/or weatherization work, you ma be required to have a final inspection of the work scheduled and performed by the building inspector in your town. I required by the town, you will be notified by Home Works Energy that an inspection is necessary with instructions on h•w to complete this process to close out your permit. Email: judyryanhta@hotmail.com Customer Signature: Date: 7/28/2'22 Judith an For Condo Owners: If you have property oversight by a condo associationt, please have the association's authorized personls) complete and sign the section below. Please email this document to wxpermitting@homeworksenergy.com once completed. We, being the duly authorized representatives of the association Name of association or management companyt or management company have reveiwed the plans and specifications for improvements to the address specified above. We further acknowledge that the above listed owner has given notice that they intend to seek permits nd to carry out the proposed work. Signature of representative Date Print Name t Other unit owners may sign when there is no association. �P/L,AN VIEW IName:..E7 a 1 Site IQ: `4 2-2- I 5 Finished Sq. Ft: Z-Z�{ Phone: 3� Electric Acct#: A ess: , . x.�-�,�,.• .. .. :,. . .......,. ;r Gas Acct#: 0tC/Y_2 /''I/r .. - _ :: ._ = Housing Type? t.c ( DUCTWORK INSPECTION Ducts tnsutated7Li _-`" Ji -7 �� MDuct Air Sealing Hours 1 ZG MMuuct insulation t D Ittl•uuct Insulation oval PC.J a m ,i i%g.r • ,..4"..,4., ;4,_ - - 7g,Ft.I ,OW..iSl • y s r s Bsmt Wall AG I I I , i Crawl Ceiline i i 1 I - — --- Zt Crawl Ktm Joist 1 I I i ZC 1 l(9 Remus us.' • °• ) 11. `v', iii kirowFr i ir.-..-: . . WAi I..1. 11,“14r..r Drill Lo l7tion? NW i swine iCeil.Height I txistine I soecinti I SO.tt. I trraming 6ctorin►Wati 1 I(Jr x 4( x K, AliffiSIMOPlatfor _ . is I I ' Overhang x Garage Wall x x Balloor 'latfor Garage Ceiling x o 1 s ral.) Z 1, � • EE cc 3� 2 z 0 21 ("? ) . . Insulation Removal .6k rWCC}JO. M I WORK SPEC'D BUT NOT CONTRACTED RS/AD BLOCKS PRESENT?(MANDATORY) 1 Attic pp BasementJCrawlspacelfjOther: I K&T YUNQIMoisture YLJNI/lcompustionstty VUNyI1 Kneewall DI Overhang]: 1JN10f91old>100sgft YID N ICU Detector Missing Ductwork Exterior Walls = - .M 1TI Struct!Concem�lfflN 17lOther: Notes for Lead Vendor/Work Not Contracted: 1 KW WALL AND KW FLOOR Blind Spec? 0 ' OR -—. Why? KW SLOPE AND GABLE END Blind Spec? IIIIWhy? FRAMING EXISTING SPEC'ING ISO.FT WALL X X FRAMING EXISTING SPEC'ING SQ.Ft FLOOR X X r' SLOPE X X 00 •CCESS X f GABLE X X •NS X x ;, t.ini( r. TRANS X X inc ;' ATTIC 1 SLOPE X X SLOPE X X s n EXISTING VENTING? o w EXISTING VENTING? EXISTING PIPES? YJ�NT KIN Venting Vsssif BF Hose Damming Sheathing Access Temp Access r KW ,tg Vent BF Temp Access l(NEE vAU MANDATORY t)f 5 s `0, 5 5 it_ term . . . . fri" go(54'ir-13 ; Z l A44k- ( Sty 1°1 0 A- 1-- 2 a o �Al A- .. /` 5 Ciiit i/ CMG � ' t55-P 5 d 3. I tJ ) 4 oP� �'"' ! n q Prcp �-lH c. f,Psash • I)o p-1 '"'�'` . 0 terse M °'� Ii . NIA___L-t insulated Wall x x Reed Li&o ins.Hose Nam BF® Chun.®Damming 1r Roof y wz � . N erVoI.l 7� x .0058 AA Handler a Temp Acne T❑PuU Down ® Hatch © Wall Hatch "/ Door o/ a'Roof Vent(ARV)® (S don') Blind Spec? Zx Co x Ki ATTIC 2 Blind Spec? U x 15.?(�story) (90 7 xl� x J(� ATTIC 116(3Word 2 Existing Spec'ing Sq ft� Existing Spec'ing Sq ft MULTIPLIERS Unfloored LG/T11 31)2, 465' Unfloored i "J'Ll L Sf) russesfam ross:a .ng� u Mixed IrtC=In Duct Work nin Floored Floored - , ,,. ,os f:-. N.n 3 Cath Slope Cath Slope _ AIR SEALING HOURS Walls Walls 4 Access �� y /a Access 1' 1 • 2. o jt1 LI f Venting Propavents Vent BF BF Hose Damming Venting Propavents V nt B BF Hose Damming W m 10et*51 ,' / w �''� • S eaNdl►g Access:___ A. Sn ' 'ti R.L Covers: �1 75 sq.Ft/sac ag0j'• 1•" (Edst.NFA Ve I"G ifteded 7CD sq.W 3° •_._.�_•JG_114st.NM Vdn i ing" o� NFA Ventias)'Roof 1Vpe:F YI Existing Venting a-- ( NFAYMrtIr� Existing Venting? t�.,`,/' �V �' 111 HomeWorks Energy On? 101 Station Landing,Medford,MA 02155 CONTRACT - AUDIT HomeWorks 781-305-3319 _nergy,Inc Page 1 PROGRAM CMA-HPC CUSTOMER PHONE DATE CLIENT) WORK ORDER Judy Ryan (413)265-0033 07/27/2022 422153 00006 SERVICE STREET BALM STREET PROPOSED BY: 61 Meadow Street Fl 1 61 Meadow Street Fl 1 HomeWorks Energy SERVICE CITY,STATE.ZIP BILLING CRY,STATE,ZIP Florence, MA 01062 Florence, MA 01062 DESCRIPTION QTY COST INCENTIVE TOTAL HOME AIR SEALING 2 $188.66 $188.66 Provide labor and materials to seal areas of your home against wasteful,excess air leakage. Materials to be used to seal your home can include caulks,foams and other products. Primary areas for sealing include air leakage to attics, basements, attached garages and other unheated areas(windows are not generally addressed.) ATTIC DAMMING-R-38 FIBERGLASS 40 $96.80 $72.60 $24.20 Provide labor and materials to install a 12"layer of R-38 unfaced fiberglass batts for damming purposes. ATTIC FLAT-5"OPEN R-19 CELLULOSE 455 $655.20 $491.40 $163.80 Provide labor and materials to install a 5"layer of R-19 Class I Cellulose to open attic space. ATTIC FLAT-5"OPEN R-19 CELLULOSE 200 $288.00 $216.00 $72.00 Provide labor and materials to install a 5"layer of R-19 Class I Cellulose to open attic space. BASEMENT SILLS-RIGID BOARD INSULATION 120 $520.80 $390.60 $130.20 Provide labor and materials to install rigid board insulation to the perimeter of the basement ceiling at the house sill. INSULATE BULKHEAD DOOR 1 $68.83 $51.62 $17.21 Provide labor and materials to insulate the back of the door to the basement's bulkhead with rigid board. HomeWorks Energy ,n C 101 Station Landing,Medford,MA 02155 CONTRACT - AUDIT Mew __ 781-305-3319 Energy,Inc Page 2 PROGRAM CMA-HPC CUSTOMER PHONE DATE mew I WORK ORDER Judy Ryan (413)265-0033 07/27/2022 422153 00006 SERVICE STREET BILLING STREET PROPOSED BY: 61 Meadow Street Fl 1 61 Meadow Street Fl 1 HomeWorks Energy SERVICE Cnr,STATE,2W BILLING CITY,STATE,ZIP Florence, MA 01062 Florence, MA 01062 DESCRIPTION CITY COST INCENTIVE TOTAL VENTILATION CHUTES 74 $258.26 $193.70 $64.56 Provide labor and materials to install ventilation chutes in the rafter bays to maintain air flow. Total: $2,076.55 Program Incentive: $1,604.58 Customer Total: $471.97 WE AGREE HEREBY TO FURNISH SERVICES-COMPLETE IN ACCORDANCE WITH ABOVE SPECIFICATIONS.FOR THE SUM OF ***Four Hundred Seventy-One&97/100 Dollars $471.97 COMPANY REPRESENTATIVE CUSTO R SIGNATURE NOTE:THIS CONTRACT MAY BE WITHDRAWN BY US F NOT EXECUTED WITHIN DATE OF ACCEPTANCE 8/1/2022 SIGN DATE DAYS.